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Howard L Thomas, BH8703
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Laveen, Arizona
NPI 1285403741

Howard L Thomas is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Laveen, AZ. Howard L Thomas practices in Laveen, AZ and has the professional credentials of BH8703. The NPI Number for Howard L Thomas is 1285403741 and holds a License No. BH8703 (Arizona).

The current practice location address for Howard L Thomas is 5528 W Maldonado Rd, Laveen, AZ and can be reached out via phone at 919-824-6953.

Location: 5528 W Maldonado Rd, Laveen, AZ, 85339-4211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285403741
Provider Name
Howard L Thomas
Credential
BH8703
Provider Entity Type
Individual
Gender
Male
Address
5528 W Maldonado Rd, Laveen, AZ, 85339-4211
Phone Number
919-824-6953
Fax Number
Provider Enumeration Date
12/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5528 W Maldonado Rd
City
Laveen
State
Arizona
Zip
85339-4211
Phone Number
919-824-6953
Fax Number
person
Provider Business Mailing Address Details
Address
5528 W Maldonado Rd
City
Laveen
State
Arizona
Zip
85339-4211
Phone Number
919-824-6953
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
BH8703 (Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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